HomeMy WebLinkAboutMiscellaneous - 295 CAMPBELL ROAD 4/30/2018!2
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BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
17 1
i sz
1. NAME C) DATE. 16'1;�- 4
2. ADDRESS-... C 4�& V&S& LOT NO. TEL.
3. NO. OF BEDROOMS DEN YES NO_�._
4. GARBAGE GRINDER YES NO__K_
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7.
8.
9.
10.
ii.
SHOW DIMENSIONS OF LOT
SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE. LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
-3o-,-,
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE October 24, 1964
NAME OF APPLICANT John Donohoe
LOCATION— Lot #4, Campbell Road
Address of lot no.
BUILDING: Dwelling x -Other
SYSTEM: New x —Repair
GENERAL DESCRIPTION OF LAND h i g_h
SUBSOIL: Clay Gravel Sandy_glay
PERCOLATION TEST 4
minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 19000 gallon capacity.
LEACH FIELD 200
lineal feet of drain pipe.
�Iilliam J briiscoll, Engin6-eT
Board of ke-aYth
Donahoe., John
Lot 4P Campbell Rd.
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER9 MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot A, Campbell Rd. 9 1 will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches$ and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. 1 will install a con-
crete septic tank of -1000 gal, —in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 200 -lineal (s4k" feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe, The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/811 to 1/41, (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of tile will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25.feet from any stream, 20 feet from any dwelling or 10 feet from any property line.
I further agree not to cover any portion of this installation until ar-oroved bv the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the pe it Plot 9m Tvs�d�e submitted with application.
Well to be in front of lots UO It. rom rain ie
DATE
j -
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DA
/Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as descri d.
D E
AT
Signature Inspecting Officer
Percolation Test 4 min. Soil: Sandy -clay
Garbage Grinder— - - No
)ard of H8alth .
orth And,_over.K�BB.
� FAII,
OK
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11
sm>Tic sTsTEH
INShILATICK CHBCK LIST
DI SAPPR UM
Reaspnst
LOT
-V %if
XCAVATICH OK Tff L
1. Distance Tot
a'. Wetlands
b. Drains
c.. wen
2* Water Line Location
3. No PVC Pipe
4. Septic Tank
a. -Tees �-_Length & To Clean Out Covers
b. Cement Pipe to Tank - On Both Sides of Tank
5. .-DistAbution. Box
a. Covers & Box - No Cracks
b. All Lines Flo-Amg Bqual Anoimts
C. No Back Flow
6., Leach Field or Trench
a. Dimensions
b. Stone Depth
c 0, Capped Ends
d. Clean Double, Washed Stone
7. Leach Pits
a. Dinensions
b. Stone Depth
c. Splash Pads
d. Tees
e. Cement Pipe to Pit Both Sides
f. Clean Double Washed Stone
8. No Garbage Disposal
9. Anid Grading Inspection
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
b. Dixensions of System
c. Location with Regard -to Pere Test
d. 'Elevations
e.' Water Table
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BOARD OF HEALTH
No.Andover, Imass.
SUBSURFACE DIEPOSAL DESIGN CHECK LIST TUXz5-
L OT # '/ 60M aE41, 5 7 -
APPROVED DATE
Provided:
DISAPPROVED DATE
Reasonsi
Title V
Reg 2.5
Reg 6
Reg 10.2
Reg 10.4
FAIL
CK
The submitted plan must show as a minimum:
A) the lot to be served-areatdimensions lot #.,abutters
b location and log deep observation Mea -distance to ties
�c location and results percolation tests -distance to ties
d design calculations & calculations showing required leaching area
location and dimensions of system -including reserve area
M existing and proposed contours
location any vet areas Athin 1001 of sewage disposal system or
disclaimer -check wetlands mapping
(h) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(i) location any drainage easements vithin. 1001 of sesage disposal
system or disclaimer -Planning Board files
(J) knovin sources of vater supply within 2001 of sewage disposal
system or disclainer
(k) location of any proposed well to serve lot -1001 from leaching f cilit
(1) location of water lines on property -101 from leaching facility
(m) location of benchmark
(n) driveways
(o) garbage disposals
no PVC to be used in construction
profile of system- elevations of basement., plumb., pipe., septic tank.,
distribution box inlets and outlets,, distribution field piping and
Other'elevations
(r) maximum ground -water elevation in area sewage disposal system
(s) plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Septic Tanks
(a) capacities -15M; of flOWo water table3 tees,, depth of tees.,
access., pumping
(b) cleanout
(c) 10, from cellar wall or inground smimming pool
(d) 251 from subsurface drains
7 Distribution Boxes
(a) slope greater U_= 0.08
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TRANSMISSION VERIFICATION REPORT
TIME
06/27/2006 11:57
NAME
HEALTH
FAX
9786888476
TEL
9786888476
SER.#
00OW120960
DATEJIME
06/27 11:54
FAX NO./NAME
816177466880
DURATION
00:02:08
PAGE(S)
07
RESULT
OK
MODE
STANDARD
ECM
North Andover Health Denartment
1600 Osgood Street
Building 20, Suite 2-36
NorthAndover, MA 01845
978.688.9540 - Phone
978.688.8476 — Fox
healtbdg6t@tpwAofnort,handover.eom - E-mail
www,t-omgo—fn—ort.handover.com - Website
Letter of Transmittal,
Page of
4 T%,Go 16 F4
'a W-1-mr-
Cut
TO-
'��17 e�
DATE!
COMPANY: 6.
FROM; Ptoela DelleChiaie, Health Department Assistant
Pbole: 6151
RL
6;
FOXI v1 ale SeD
We ON0.001747g YOW 000py0flOffOr DPlans L7 Other tfill h7hOlOW)
These are transmitted as chocked below:
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COPY
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Donahoe) John
J�o
+ 4) Campbell �11.d.
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Lot, ampi-,ell 1d. 0 1 will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. 1 will install a con-
crete septic tank of 1000 7alo in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch perforated
or open jointed pipe and laid in a series of trenches, the bottom of which will pro-
vide a minimum of 200 lineal (s4hgta feet of effective absorption area.
The pipes will be laid on a 6 Inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-112 inches (dia.) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe. The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/81, to 1/4" (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of tile will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line.
I further agree not to cover any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the permit Plot P�ans Tvs� be submitted with application.
Well to 'r�e in front of lot . 1:00 h. from dra?.n le et.
DATE
Signature of Applicant
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
/Signature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
DATE
Signature o Inspecting Officer
Percolation Test 4 nd�,- '1'oil: San,,
Garbage Grinder ...0
BOARD OF HEALTH
TOWN OF NORTH ANDOVER, MASS.
'IV
ST,
1.
NAME
DATE
2.
ADDRESS.- ird LOT NO._ TEL. 7 V
3.
NO.
OF BEDROOMS It DEN YES NO
4.
GARBAGE GRINDER YES NO_
5.
SHOW
DIMENSIONS OF HOUSE
6.
SHOW
DISTANCES OF HOUSE TO ALL PROPERTY LINES
7.
SHOW
DIMENSIONS OF LOT
8.
SHOW
LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9.
NOTE
LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10.
SHOW
LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11.
SHOW
DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE October 24, 1 64
NAME OF APPLICANT John Donohoe
LOCATION Lot #4, Campbell Road
Addr�`sso t no.
BUILDING:
Dwelling x -Other,
SYSTEM: New x Repair
GENERAL DESCRIPTION OF LAND high
SUBSOIL: Clay_ Gravel Sandy_Sla
j
PERCOLATION TEST
minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK lt 000 gallon capacity.
LEACH FIELD 200 lineal feet of drain pipe.
William J �Pscoll, Engin��-----
Board of kea th
FORM U LoT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
***Applicant fills out this section*****************
APPLICANT: Phone
LOCATION: Assessor's Map Njer Parcel
subdivision
Lot(s) ---------
Street 2,A A,�;
St. Number
'Z'
************************Official Use Only************************
RECOPMC
?AMONS OF JWN ENTS:
LJG 7
�7L�
ly�- Date Approved -7
--Z� v hp d -e cl"�
C66servaltion-Administrat r Date Rejected
Comments
U
Town Planner Date Approved
Date Rejected
Comments
Food Ins0'ector-Health Date Approved --------
Date Rejected
Ctor_ Date Approved
Se
p+-ic Inspector -Health Date Rejected
Comments
'Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
p(w
F, � -5z-
6 /Ily
AI.D.
3 S,
41
7, -ij -ii
7Z- It 7"-7'-
�oard of H6alth - f&
korth An�p-ve-r-2,4" Be � 4,
1OVED DATE DIWpilaTO
-Reagonst
SEMC SISTEM
INsTAIIATICK CHECK LIST
-19-X-CAVATION 01 FAIL
FAIL
OK
1. Distance Tot
a. Wetlands
be Drains
c.. wen
2. Water Line Location,
3. 'No PVC Pipe
Septic Tank
a. Tees �--Length & To Clean Out Covers
be Cement Pipe to Tank - On Both Sides of Tank
Distribution Box
a. Covers & Box - No Cracks
be All Lines Flo-Amg Equal Amounts
c., No Back Flow
6.- Leach Field or Trench
a. Dimensions
be Stone Depth
c 0, Capped Ends
d. Clean Double'Washed Stone
7. Leach Pits
a. Dimensions
be Stone Depth
c. Splash Pads
d. Tees
e. Cement Pipe to Pit Both sides
fe Clean Double Washed Stone
8. No Garbage Disposal
7
9. -Tinal Grading Inspection
10. Barricading Covered System
ll. As Built Subnzitted
a* Lot Location
be Dimensions of System
c. Location with Regard -to Pere Test
d. Elevations
L
ee' Water Table
4
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su3snHovssvw 'U3AOC3NV HIMON JO NMOI
BOARD OF HEALTH
No.Andover, Mass.
APPROVED D=
Provided:
SUBSURFACE DIVOSAL DESIGN CHECK LISr 3
�LOT #4fAMF,135_L_,L JI -
DISAPPROVED DATE
Reasons:
Title V FAIL CK
Reg 2.5 The submitted plan must show as a minimum:
--'a) the lot to be served-areatdimensions lot #.,abutters ties
11b location and log deep observation Mes-distance to
c location and results percolation testB-distance to ties
di design calculations & calculations showing required leaching area
_(e) location and dimensions of system -including reserve area
(f) existing and proposed contours
(g) location any wet areas Athin 100 1 of sewage disposal system or
' disclaimer -check wetlands mapping
(h) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
(i) location any drainage easements vithin 1001 of sevage disposal
system or disclaimer -Planning Board files
(J) known sources of vater supply within 2001 of sewage disposal
system or disclainer
(k) location of any proposed well to serve lot -1001 from leaching facility
(1) location of water lines on property -101 from leaching facility
1(m) location of benchmark
(n) driveways
Ikk (o) garbage disposals
(p) no PVC to be used in construction
(q) profile of system -elevations of basemento plumbj pipe, septic tank,,
distribution box inlets and outletsj distribution field piping and
Other elevations
(r) maxi=m ground water elevation in area sewage disposal system
(s) plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6 Septic Tanks
(a) capacities -150% Of flOw.,water table., teesj depth of tees.,
access., pumping
(b) cleanout
(c) 10, from cellar wall or inground swimming pool
__1(d) 251 from subsurface drains
Reg 10.2 7 Distribution Boxes
1, 1(a) slope greater U—M 0.08
Reg 10.4 Kb) sum
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North Andover Health Department
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA 01845
978.688.9540 . Phone
978.688.8476 — Fax
healthdept(cDtownofnorthandover.com - E-mail
www.townofnorthandover.com - Website
Letter of Transmittal
Page / of 'Ir
TO:
DATE:
COMPANY.
FROM: Pamela DelleChiaie, Health Department Assistant
�7 /6/
Phone: ///7 RE:
Fax: - .117
We i7re seimdky you.- OCqpyofLeffer OPlans 00fher(fillinhelow)
These are transmitted as (hecked below:
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REMARKS:
COPY TO:
COPY TO:
SIGNED:
COPY TO:
TRANSMISSION VERIFICATION REPORT
TIME 06/28/2006 13:14
NAME HEALTH
FAX 9786888476
TEL 9786888476
SER.# 00OB4JI20960
DATEJIME
06/28 13:13
FAX NO./NAME
819783886728
DURATION
00:01:29
PAGE(S)
07
RESULT
OK
MODE
STANDARD
ECM
NAtth-Andoyer R
golth Departmont
1600 Osgood Street
Build ' ino 20, Suite 2.36
North Andover, MA 01845
978.688.9S40 - Phone
978.688.8476 — Fax
hea
1th-d-Gp-t@tmy.tLo-f northancloy0rf 0M - E-mail
3mKw-Jo-wnofpqjfthandaver.mQm - Wobsite
Letter of Transmittal.
Page of
TO, DATE,
COMPANY: A�' FROM: Pamela DelleChic
Phone: RE:
Fy�:
WE ArO S601747
,#y#u.- 0&pyofietter oplans aotbertrilliphelowl
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I L
DEOE File No. [242-287:::
vlWdod by DEOE)
(To be provW
Cityrrown
Nerth Aftdover
Commonwealth
of Massachusetts Applicant JQhp. Q_ !Pq_jV_:tJ:e, jr.
Lots 1,2,4,5 Campbell Road
Certific;te of Comptiance
Massachusqtts Wetlands Protection Act, G.L. c, 131, §40 &
under the Town of Nortl� An'dover' By-law', Chapter 3 Sectioh 3.5 A&B
_Jssuing Authority
From North *ndever CULIbervation CUM -mission — 7 -
To John C. -Miule I r. 57 Chi q kering Roa orth Andnirn�
(Name) (Address)
Dateofissuance. SeptemiaAr 4 1985
This Certificate is issued for -work regulated by an Order of Conditions" issued to 1-bri C Tattle, 4r..
dated Q9/Q4/1985 .-an . dissuedbythe North Andaver
Conservation Commission
1. It ishereby certified that . the work regulated by the above -referenced Order of Conditions has
been satisfactorily completed.
2. 0 It is hereby certified that only the following portions o! the work regulated by the above -refer-
enced Order of Conditions have been satisfactorily completed: (If the Certificate, of Compliance,
does not Include the entire project, specify what portions are included.)
3. 0 It is hereby certified that the work regulated by the above -referenced Order of Conditions was
never commenced. The Order of Conditions has lapsed and is there -fore no longer valid, No futur(
work subject to regulation under the Act may be commenced without filing a new NotiC6 of Intent
and receivinp a new Order of Conditions.
...................................................................................................... ................. ................ ............. ........... ...................
(Leave Space Blank)
This certificate shall berecorded in the Registry of Deeds or the Land Court for the district in
which the land is located. The Order was originally recorded on (date)
at the�Reglstry of Book Page
5. 0 The following conditions o -f the Order shall continue: (Set forth any conditions contained in the
Final Order, such as maintenance or monitoring, which are to continue for a longer period.)
Signature(s
When issued by the Conservation Commision this Certificate must be signed by a majority of is members.
.,On this 10th day of Line 19 before me
personally appeared North Andover Conseryaf-inn rQmmJ-,zqJnn to me known to be the
person described in and who executed the foregoing instrument and acknowledged that he/she executed
the same as his/her free -act and deed.
Notary Pubiic !one p9e
My.commiss x s
Dets'ch oo dotted line and submit to the
................................................................................................................... ..................................................................................
ro Issuing Authority
f pleaso be advised that the Certificate of Compliance for Me project at
File Number '9� 'has been recorded M the Pdr
gistry of
and has been noted In thochaln of title of the affected property on
19
It recorded land, the instrument number which identifies this transaction is
It registered 14nd, the document number which identifies this transaction is
Sighature Applicant
& r . 11 1
2 JW�L)
-.95
Therefore. the LT, A C. C. hereby finds that the following conditions are
necessary, In accordance with the Performance Standards set forth In the regulations, to protect those inter-
ests checked above.�he NACC o�ders that all work shall be performed
in accordance with said conditions and with the Notice of Intent referenced above. To the extent that the fok-
lowing conditions modify or dif f er from the plans, specifications or other proposals submitted with the Notice
of Intent, the conditions shall control.
Genoral Conditions
2.
4.
5.
7.
8.
9.
Failure to c6mply'with all conditions Stated herein, and with all relatod statutes and other regulatory me83-
Uf 03, shall be d"mad cause to revoke or modify �hls Order.
This Order does not grant any property rights or any exclusive privileges; it does not authorize an'y* Injury
to private property or Invasion of private rights.'
This Order does not relieve the pen-nittee or any other person of the necessity of compV'g with all
n
other applicable federal, State or local stahites. ordinances, by-laws or regulations.
Tha work authorized hereunder shall be compi . eted within three yeam from the date of this Order unless
eithe? of the following apply:
(a) the work Is a maintenance dredging -project,as provided for In the Act;.oe*
(b) the time for completion has been extended to a specified date.more than Wee years. but less than
five years, from the date of Issuance and both that date and the 3peckd circumstances warranting
the extended time period are set forth In this Order.
This Order may oe extended by the Issuing authority for one or more periods of up - to three years each
upon application to the Issuing authority at least 30 days prior to 'the expiration date of V4 Order.
Any fill used in connection with this project'shall be clean fill, cont2tining no trash, refuse, rubbish or do-*
bris. including but not limited to lumber, bricks. -pla'ster, wire. lath, "paper. cardboard. . pipe. Hres. ashes.
refrigerators, motor vehicles or parts ofa.ny of the foregoin'g.
No w ork shall be undertakenuntil all * administrative appeal periods 4rorn this Order have elapsed or, If
such an appeal has been filed. until all proceedings before the Department have been completed.
No work shall be bridertaken until the Final Order has been w.,orde'd in the Registry of Deeds or the Lani
Court for the district in which the land is located, within the chain ot iffle of the affected property. In the
case of recorded land, the Final Order shall also be noted In the Registry's -Grantor Index under the name
of the owner of the land upon which the proposed work Is to be done. In the case of registered land. the
Final Order shall also be noted on the LandCourt Certificate of Title of the owner of the land uvon which
the proposed woik Is to be dorie. The reco rding Infon n*ation shall be submitted to to
on the form at the end of this Order prior to commenceme�t'of the Vvork.
A sign shall be displayed at the site not less than two square feet onmore than three square feet Inslz@',
bearing the words, "Massachusetts Depeftent of EnvIronmental Qu'aillty Engineering,
File Number. 2 4 2 - 2 8 7
10. Where the Oepartment of Environmental Ouallty Engineering Is requeste d to make a determinationl and
to Issue a Superseding Order. the Conservation Commission shall be a party to all'agency proceedings
and hearings before the Oepartment.
11. Upon completion of the work described herein. the applicani shall forthwith request In writing that'a
Certificate of Compliance be issued stating that the work has been sailsfactorily completed.
12. The work shall cr,,riforrn to the following plans and special conditions:
V
S-2
ORDER OF CONDITIONS: Lots 1,2p 4 & 5 CAMPBELL ROAD
242-287
Notice of Intent submitted by. John C. Tuttle, Jr. /prepared
by TI-).01nas E. Nevc Assoc. Inc. dated August 5, 1985/Six (6)
1) . )lan cl-ititled "S'an.ltar�,r Dispo sal System" Cawpbell Road, Lots
4 & 5/Tirepared by Thomas E. Neve AssociaLesp Inc./
T
-lp
-our (4) sheets, -, Draw -n!_ Nos..S-472
.1 ted July 1.2, 11)(15, f
S - 4 7'� - 4.
L, - /1 7:.') - 2 1 1 -4-72-5.
13. Prioj_-' to any. constructioi--i . on the site, a doul�)le row of staked
I , �jy 1), 1 aced as per the plans reforencod above.
-1. (2.,3 shall be pl,
d an(I approvIed by the
ThiS I)ay bale barrier shall be inspecte I k
N)'%CC prior to the start oE any construction
.14. Upon colipletion of construction and grading, all areas shall
be st--abi.lized permanently against erosion. This shall be
I C�
(lone (J.Lher by sodding, mulching according to Soil Conservation
Ser-ki-i-ce standards, or by loaming and seedingi If the latter
course is chosen, stabilization will be cons 1-dered once the
surface shows complete vegetative cover has been achieved.
15. All erosion prevention and sedimentation protection measures
found iv.--cessary durin6 construction by the NorlAi Andover
Conservation Comittission will be implemented at L'[).e direction
of the NACC or Highway Surveyor.
1.0. Any changes in the submitted pla-nsp Notice of Intent, or
resulting from the aforementioned conditions must be submitted
to the INACC for approval prior to implementation. If the NACC
finds, by majority vote, said changes to be signific ' ant and/or
deviaLe from the original plans, Not -ice of Intent or this Order
of Conditions to such an extent that the interests.of the
Wetlands Protection Act cannot be protect * ed by this Order of
Conditions and would best be served by the is"�,uance of
additional conditions, then the NACC.will call for another
public hearing within 21 days, at the expense of the applicant,
in order to take testimony from all interested parties.
1%lithin 21 clays of the close of said public hearing, the NACC
will issue an amende(l or new Order of Conditions.
17. Any �-�rrors found in Lhe plans or information si.iL)iaiLted by the
ap,)Ucant sliall be considered as changes 'and procedtires out -
L
li.ne,(l for cl-ian,es sliall bp followed.
18 The "rovisions of LhAs Order shall apply to and be hinding�
1.jl)on the applicant, its eTTIE)IOYCOs, and all suc.cesrors and
assigns in interest or control.
- 3 -
I
ORDER OF CONDITIONS: LOTS 1-9 2t 4 & 5 CAMPBELL ROAD
6 242-287
119. Pr i . or to I. -.he issuance of a Certificate of Compliancet the
a, )DUcAnt shall submit a letter to the Conservation COMMiSSiOn
fr n registered professional engineer certifyin- t1at the
work is in compliance with the plans referenced above and
the conditions stated above.
20, �je,nbers of (Jae NACC shall have the right to entcr upon and
inspect- Prem_i.s(--_,s to evaluate compliance witli t1lis Order
of Cond i ions.
21. `mccopi ed engine . erin, )nd construction standards and procedures
S,11;�jjj I)e rojjowe,(.'i ii -i tbe- completion of thc project
'C -is does not in any umy imply or
22. is�-maiir_e of theso c-o"di-t-i )] I
tI) �wili. Tiot I..)e sub ect
e s,.ire or dowi.-ist--ream areas
_n�', sLorm oi- any ot.her forin oC _i.mage clue
3. A 4m-(�Ly perform;)nce hond or letter of, credit runni;ag to the
ToNvii oC jNorth Andoven.- shall be provided in the ---Imount of
$/�,0i,')-%n0 w1hich sl -)all be in all respects satisfactory to Town
Coi.nisol al. -id the Nort-Ii Ai.idover Conservation Commission and sl ' ial I
Le, 1)os'i-.(-.d. with tbe Treasurer of the Town of Norl.-Ji. And'over before
corN,nolic-ement of work. Said bond or letter of credit shall be
condi.;_-Ione-d on the completion of all conditions II('--3-eof, shall
be sI.glned by a party or parEies statisfactory to tI)e Conservation
Commission and Town Counsel, and shall be released after coin-
plet-ion of the proje-ct, provided tha t provisions, satisfactory
to Hile. Commission, bas been made for performance of any conditions
1,A)Ach are of a continuing nature. This condition * is issued
undel. Uie Town of North Andover Wetlands Protection Bylaw
Secl-Ion 3.5 A & 3.
W_
- 4 -
we
1 21 4.& -�-.CAMPBELL ROAD
-2 Conservation Commission
N -th' ATnTdover
Ort
,iued By—�
S 19 85..beforeme
4-,.11 day of
On Gi, -' 1-flo Vi.ceiis ,o me known to be the
personally OPPeared- trument and ackno -Ie(J, led that he/she executed
person described in and who executed I the foregoing Ins
the same as h,s1her free act and deed.
My commission expires
Notary r-,,jblil-
ner of land abutting the land I)pon which the proposed work Is to
The applicant. ilia owner. any person aggrieved by this Order. any Ow artmenl
be done or any ton residents of the city or town In which such land Is located are hereby notified of their right to request the DOP
ortitied mnii or hand delivery to
of Environmental OualitY Engineering to Issue a Superseding Order. providing the request is made by c ;4.
uance of this Order. A copy of the tequest shall at the same time be sent by certified
the Department within ten days from the data of Iss
rvallon Commission and the applicant.
mail or hand delivery to the Conso
ID
prior to commiincement of work.
oetsch on dotted line and submit to the — I
........................................................................................................... ..........................
.....................................................................
;Issulno Authority
To
please be advised that the Order of Conditions for the project a
&Ad
File Number has boon tecordod at the Registry Of
has been notedin the chain of tifloof the affected property In accordance Willi General Condition San
It recorded land. the Instrumed nt..aber which Identifies this transaction Is
it registered land. the document �Niirnb.er Which Identifi9S this transaction Is
Applicant
Signature
ACTIVITY REPORT
TIME
06/28/2006 13:14
NAME
HEALTH
FAX
9786888476
TEL
9786888476
SER.#
000B4J120960
NO.
DATE
TIME
FAX NO./NAME
DURATION
PAGE(S)
RESULT
COMMENT
06/16
11:44
9786864489
37
05
OK
RX ECM
0078
06/16
12:15
818779279400
33
03
OK
TX ECM
06/19
11:14
7813951014
16
01
OK
RX ECM
0079
06/19
13:15
819784588994
05:20
15
OK
TX ECM
06/19
15:28
6035379614
31
01
OK
RX ECM
06/19
16:27
978 526 7926
14
01
OK
RX ECM
06/20
08:33
15
01
OK
RX ECM
06/20
11:11
9786238359
13
al
OK
RX ECM
06/20
12:25
03:23
10
OK
RX ECM
06/20
13:40
919789372083
57
01
OK
RX ECM
#080
06/20
13:44
819787256254
03:28
01
OK
TX ECM
06/20
13:55
33
01
OK
RX ECM
#081
06/21
08:54
557
21
02
OK
TX ECM
0082
06/21
10:42
817818436630
02:32
11
OK
TX ECM
#084
06/21
10:45
817818431573
02:00
11
OK
TX ECM
#083
06/21
10:48
817818436630
02:31
11
OK
TX ECM
06/22
08:18
15
01
OK
RX ECM
06/22
09:02
1 978 531 5920
01:15
03
OK
RX ECM
06/22
09:11
978 725 8181
01:28
05
OK
RX ECM
06/22
10:58
18
01
OK
RX ECM
06/22
12:49
978 409 6122
48
03
OK
RX ECM
06/22
13:15
978 409 6122
17
01
OK
RX ECM
#085
06/22
15:42
819786811894
00
00
BUSY
TX
#086
06/22
15:51
89784708338
01:27
11
OK
TX ECM
06/23
12:37
978 688 7510
01:03
03
OK
RX ECM
06/23
12:39
978 688 7510
48
02
OK
RX ECM
#087
06/23
12:53
89784700217
27
02
OK
TX ECM
#088
06/23
13:04
819784091269
50
02
OK
TX
#089
06/23
13:11
816035958753
35
03
OK
TX ECM
06/23
13:16
19789348478
le
01
OK
RX ECM
#090
06/23
13:21
819784091269
01:05
03
OK
TX
#091
06/23
13:41
816032229077
31
01
OK
TX ECM
#092
06/23
13:42
816032229077
32
01
OK
TX ECM
#095
06/26
12:17
819784096122
39
03
OK
TX ECM
06/26
14:20
617 983 6363
36
02
OK
RX ECM
#096
06/26
14:54
819782820012
01:14
05
OK
TX ECM
#097
06/26
15:20
819782820012
56
05
OK
TX ECM
#098
06/26
15:30
89786855640
27
02
OK
TX ECM
#099
06/26
15:34
818008661471
01:02
03
OK
TX ECM
06/27
11:12
9786238359
13
01
OK
RX ECM
#100
06/27
11:54
816177466880
02:08
07
OK
TX ECM
#101
06/28
09:02
819786497582
32
02
OK
TX ECM
0102
06/28
10:15
816173671971
27
02
OK
TX ECM
#103
06/28
10:29
819785328410
31
02
OK
TX ECM
0104
06/28
10:31
89789752181
51
02
OK
TX ECM
#105
06/28
10:34
819783411797
35
02
OK
TX ECM
#106
06/28
10:35
816173424950
24
02
OK
TX ECM
#107
06/28
10:37
89786851214
50
02
OK
TX ECM
#108
06/28
11:59
89789468046
16
01
OK
TX ECM
0109
06/28
1 13:13
1 819783886728
01:29
07
OK
TX ECM
BUSY: BUSY/NO RESPONSE
NG POOR LINE CONDITION / OUT OF MEMORY
CV COVERPAGE
POL POLLING
RET RETRIEVAL
PC PC -FAX
No -martment
1600 Osgood Street
Building 20, Suite 2.36
North Andover, MA 0 1845
978-688.9540 - Phone
978.688.8476 — Fox
healthdeptC&-townofnorthandover.com - E-mail
www.townofnorthandover.com - Website
Letter of Transmittal
Page of
0of—tAORTH
+ 6..'V 6
0
comc.I.K.
TO:
COMPANY:
FROM: Pamela DelleChiaie, Health Department Assistant
Phone: RE:
Fox:
Wearese,7A7gyou.- 06,0yofletter Oftu /7 Other tfill M helow)
These are transmitted as checked below:
Abt& L7f0r4WVNi 0ft" XPiff fff
0*Rap" L7Ar raw& LYSw7* w*far&t
REMARKS:
COPY TO:
COPY TO:
SIGNED:
North Andover Board of Assessors Public Access
Parcel ID: 210/106.D-0061-0000.0
SKETCH
Click on Sketch to Enlarge
Community: North Andover
PHOTO
Click on Photo to Enlarge
Location: 295 CAMPBELL ROAD
Owner Name: DHIMIRTI, PATRICIO
JANE E MC DADE
Owner Address: 295 CAMPBELL ROAD
City: NORTH ANDOVER State: MA ZIP: 01845
Neighborhood: 7 - 7 Land Area: 3.01 acres -1
Use Code: 101 - SNGL-FAM-RES Total Finished Area: 2730 saft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 537,800 502,900
Building Value: 313,200 294,400
Land Value: 224,600 208,500
Market Land Value: 224,600
Chapter Land Value:
LATESTSALE
Sale Price: 290,000 Sale Date: 08/11/1988
Arms Length Sale Code: Y -YES -VALID Grantor: RONSIVALLI JAMES L
Cert Doc: Book:02786
Page: 0161
Page 1 of I
http://csc-ma.usNandoverPubAcc/jsp/Home.jsp?Page=3&Linkld-809212 6/27/2006
�7/95—
A/
12
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Wednesday, June 28, 2006 1:22 PM
To: Wedge, Donna
Subject: 295 Campbell Road
Hi Donna,
I have had two requests for information on this property so far. Evidently it is on the market. I have a packet from the
Health file that I am faxing, and I understand from the last caller that there are wetlands, and they are interested in wetland
delineations, so if you have anything in your files, I'll take a copy, and fax it along with my info. Thanks.
j&s,(R.o#atA(s,
A4#110.04 AMM000.41WO
Health Department Assistant
Town of North Andover
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA o1845
978.688-9540 - Phone
978.688.8476 - Fax
http://www.townofnorthandover.com
healthdept@townofnorthandover.com
Important:
When filling out
forms on the
computer, use
only the tab key
to move your
cursor - do not
use the return
key.
VQ
f9m
Commonwealth of Massachusetts
City/Town of North Andover
R E C t —JV-E�D
NOV 2 4 2008
Form 4
I 1jVvN OF NORTH ANDOV
DEP has provided this form for use by local Boards of Health. OEIM 5R ut the
information must be substantially the same as that provided here. Before using this orm, heck with your
local Board of Health to determine the form they use. The System Pumping Record must be submitted to
the local Board of Health or other approving authority within 14 days from the pumping date in
accordance with 310 CMR 15.351.
A. Facility Information
1. Systm Location:
295 Cambell Street
Address
North Andover
City/Town
2. System Owner:
Robert Bambury
Name
Address (if different from location)
City/Town
B. Pumping Record
1. Date of Pumping
10/3/08
Date
MA
State
01845
Zip Code
State Zip Code
978-687-1825
Telephone Number
2. Quantity Pumped:
3. Type of system: El Cesspool(s) N Septic Tank El Tight Tank
El Other (describe):
4. Effluent Tee Filter present? F1 Yes Z No
5. Condition of System:
Good
6. System Pumped By:
Jason Elliott
Name
Jason Elliott Septic Pumping
Company
7. Location where contents were disposed:
Signature of Receiving Facility
1,500
Gallons
El Grease Trap
If yes, was it cleaned? [:1 Yes Z No
L90-471
Vehicle License Number
11/10/08
Date
Date
t5form4.doc- 03/06 System Pumping Record - Page I of 1